rs1557106557

Variant summary

Our verdict is Uncertain significance. The variant received 5 ACMG points: 5P and 0B. PP3_StrongPP5

The NM_005183.4(CACNA1F):​c.3886C>T​(p.Arg1296Cys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000331 in 1,207,717 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. 13/23 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R1296H) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0000090 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.0000027 ( 0 hom. 1 hem. )

Consequence

CACNA1F
NM_005183.4 missense

Scores

15
1

Clinical Significance

Pathogenic/Likely pathogenic no assertion criteria provided P:2

Conservation

PhyloP100: 8.07

Publications

0 publications found
Variant links:
Genes affected
CACNA1F (HGNC:1393): (calcium voltage-gated channel subunit alpha1 F) This gene encodes a multipass transmembrane protein that functions as an alpha-1 subunit of the voltage-dependent calcium channel, which mediates the influx of calcium ions into the cell. The encoded protein forms a complex of alpha-1, alpha-2/delta, beta, and gamma subunits in a 1:1:1:1 ratio. Mutations in this gene can cause X-linked eye disorders, including congenital stationary night blindness type 2A, cone-rod dystropy, and Aland Island eye disease. Alternatively spliced transcript variants encoding multiple isoforms have been observed. [provided by RefSeq, Aug 2013]
CACNA1F Gene-Disease associations (from GenCC):
  • Aland island eye disease
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, Labcorp Genetics (formerly Invitae)
  • inherited retinal dystrophy
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • congenital stationary night blindness 2A
    Inheritance: XL Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • X-linked cone-rod dystrophy 3
    Inheritance: XL Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • cone-rod dystrophy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital stationary night blindness
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 5 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.962
PP5
Variant X-49212756-G-A is Pathogenic according to our data. Variant chrX-49212756-G-A is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 438126.Status of the report is no_assertion_criteria_provided, 0 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_005183.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CACNA1F
NM_001256789.3
MANE Select
c.3853C>Tp.Arg1285Cys
missense
Exon 33 of 48NP_001243718.1
CACNA1F
NM_005183.4
c.3886C>Tp.Arg1296Cys
missense
Exon 33 of 48NP_005174.2
CACNA1F
NM_001256790.3
c.3691C>Tp.Arg1231Cys
missense
Exon 33 of 48NP_001243719.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CACNA1F
ENST00000323022.10
TSL:1 MANE Select
c.3853C>Tp.Arg1285Cys
missense
Exon 33 of 48ENSP00000321618.6
CACNA1F
ENST00000376265.2
TSL:1
c.3886C>Tp.Arg1296Cys
missense
Exon 33 of 48ENSP00000365441.2
CACNA1F
ENST00000376251.5
TSL:1
c.3691C>Tp.Arg1231Cys
missense
Exon 33 of 48ENSP00000365427.1

Frequencies

GnomAD3 genomes
AF:
0.00000898
AC:
1
AN:
111372
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000670
GnomAD2 exomes
AF:
0.00000557
AC:
1
AN:
179644
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000368
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000274
AC:
3
AN:
1096345
Hom.:
0
Cov.:
31
AF XY:
0.00000276
AC XY:
1
AN XY:
361763
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26380
American (AMR)
AF:
0.0000285
AC:
1
AN:
35105
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19347
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30189
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53809
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40468
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4132
European-Non Finnish (NFE)
AF:
0.00000238
AC:
2
AN:
840874
Other (OTH)
AF:
0.00
AC:
0
AN:
46041
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00000898
AC:
1
AN:
111372
Hom.:
0
Cov.:
23
AF XY:
0.0000298
AC XY:
1
AN XY:
33548
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30566
American (AMR)
AF:
0.00
AC:
0
AN:
10459
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2641
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3556
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2645
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6027
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
237
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53065
Other (OTH)
AF:
0.000670
AC:
1
AN:
1493
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756

ClinVar

ClinVar submissions as Germline
Significance:Pathogenic/Likely pathogenic
Revision:no assertion criteria provided
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
-
Progressive cone dystrophy (without rod involvement) (1)
1
-
-
Retinal dystrophy (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.98
BayesDel_addAF
Pathogenic
0.74
D
BayesDel_noAF
Pathogenic
0.82
CADD
Pathogenic
34
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.98
D
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Pathogenic
1.0
D
M_CAP
Pathogenic
0.95
D
MetaRNN
Pathogenic
0.96
D
MetaSVM
Pathogenic
1.0
D
MutationAssessor
Pathogenic
4.7
H
PhyloP100
8.1
PrimateAI
Pathogenic
0.88
D
PROVEAN
Pathogenic
-7.4
D
REVEL
Pathogenic
0.97
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.88
MutPred
0.81
Loss of MoRF binding (P = 0.0185)
MVP
0.99
MPC
0.88
ClinPred
1.0
D
GERP RS
4.8
Varity_R
0.97
gMVP
0.99
Mutation Taster
=13/87
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.28
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.28
Position offset: -13

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs1557106557; hg19: chrX-49069216; COSMIC: COSV59902931; COSMIC: COSV59902931; API